流浪精神病住院患者综合治疗及护理干预效果评价

Results of combined modality therapy and nursing intervention in vagrant psychosis inpatients

目的探讨流浪精神病住院患者综合治疗及护理干预效果，为临床治疗、康复指导及护理干预提供理论依据。方法对52例流浪精神病住院患者进行系统的综合治疗及护理干预，观察4周。于治疗前及治疗2周、4周末采用简明精神病量表评定临床疗效，住院病人观察量表评估护理干预效果。结果流浪精神病患者住院治疗后简明精神病量表评分呈持续性下降，治疗4周末与治疗前比较有极显著性差异（P〈0．01）；住院病人观察量表激惹、精神病表现、抑郁、迟缓、总消极因素、病情总估计因子分均呈持续性下降，而社会功能、社会兴趣、个人整洁、总积极因素因子分均呈持续性升高，治疗4周末与治疗前比较均有极显著性差异（P〈0．01）。结论导致流浪精神病患者的原因诸多，经住院系统治疗及护理于预后，可获得显著效果，各地政府应高度重视精神病的社区防治工作。

Objective To explore the results of combined modality therapy and nursing intervention in vagrant psychosis inpatients in order to provide theory basis for clinical treatment, rehabilitation guidance and nursing intervention. Methods Systemic combined modality therapy and nursing intervention were given to 52 vagrant psychosis inpatients for 4 weeks. Efficacies were assessed with the Brief Psychiatric Rating Scale（BPRS） and the results of nursing intervention with the Nurses＇ Observation Scale for Inpatient Evaluation（NOSIE） before treatment and at the end of the 2nd and 4th week. Results After hospitalization, the BPRS scores of the patients lowered continuously and those had very significant differences at the end of the 4th week from pretreatment （P〈0.01） ; according to the NOSIE, such factor＇s score as irritation, psychosis manifest, depression, retardation, total passive factor and total estimate of patient＇s condition lowered continuously and as social function, social interest, individual neat and total positive factor heightened, and those had very significant differences at the end of 4th week from pretreatment （P〈0.01）. Conclusion Causes inducing vagrant psychosis are many, systemic hospitalization and nursing intervention have an evident effect, and to community prevention and cure of psychosis should be paid high attention.